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| | First Name:* | |
| | Last Name:* | |
| | E-mail:* | |
| | Address:* | |
| | City:* | |
| | State: | Zip Code: |
| | Day Phone: | |
| | Evening Phone: | |
I am volunteering to: | ||
Help MGLPC at Pride. | ||
Forward emails from the MGLPC to friends and/or family. | ||
Make a donation to the MGLPC | ||
Join the MGPLC fundraising team, and I'll start by finding 5 donors. | ||
Attend a mailing party. | ||
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